Active NPI
Thao Ngoc Nguyen
- Physician Assistant
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6409
- Practice address
- 777 Hemlock St
Macon, GA 31201-2102 - Phone
- (478) 633-1007
- NPI assigned
- Apr 25, 2012
- Last updated
- Oct 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6409 | GA | Primary |
Addresses
Primary practice location
777 Hemlock St
Macon, GA 31201-2102
Mailing address
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1007
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003123746E | Medicaid | GA | |
| P01312477 | Other | GA | RAILROAD MEDICARE |
| 003123746G | Medicaid | GA |
Other names 1
- Thao Ngoc Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600
320 Margie Dr
Warner Robins, GA 31088-7817
Phone (478) 633-1458
575 1St St
Macon, GA 31201-2825
Phone (478) 633-7045
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6409 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georiga Fertility Institute | Past | Accepting new patients |
Interoperability endpoints
- tnguyen433865@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Atrium Health Navicent Medical Group
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1306104575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 HEMLOCK ST",
"city": "MACON",
"state": "GA",
"postal_code": "312012102",
"telephone_number": "478-633-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HEMLOCK ST",
"city": "MACON",
"state": "GA",
"postal_code": "312012102",
"telephone_number": "478-633-1007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THAO",
"middle_name": "NGOC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "6409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003123746E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01312477",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003123746G",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THAO",
"last_name": "NGUYEN",
"middle_name": "NGOC",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Macon, GA
- Next Level Community Development Center, Inc. (New Dawn Counseling Center)
- Nexus Pain Center of Houston County
- Catherine Phuong Nguyen
- Kevin Nguyen
- Mariana Thuyen Nguyen, NP
- Theresa Nguyen, PHARMD
- Nicholas a Pietrzak, MD, LLC
- Margaret Mary Nichols, M.D.
- Robert Alexander Nichols, RN
- Rachel Catherine Nissen-Uphouse, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.